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Experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients
Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.ORCID iD: 0000-0002-7256-349X
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2009 (English)In: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 84, no 1, p. 76-83Article in journal (Refereed) Published
Abstract [en]

Aim To describe experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients, in terms of feasibility, predictors and associations of improved glycaemic control. Methods Data were collected on 94 poorly controlled adult type 1 diabetes patients who were randomised to a study evaluating the effects of a behavioural medicine intervention. Statistics covered descriptive and comparison analysis. Backward stepwise regression models were used for predictive and agreement analyses involving socio-demographic and medical factors, as well as measures of diabetes self-efficacy (DES), diabetes locus of control (DLOC), self-care activities (SDSCA), diabetes-related distress (Swe-PAID-20), fear of hypoglycaemia (HFS), well-being (WBQ), depression (HAD) and perceived stress (PSS). Results The participation rate in the study was 41% and attrition was 24%. Of those patients actually participating in the behavioural medicine intervention, 13% withdrew. From the regression models no predictors or associations of improvement in HbA1c were found. Conclusions The programme proved to be feasible in terms of design and methods. However, no clear pattern was found regarding predictors or associations of improved metabolic control as the response to the intervention. Further research in this area is called for.

Place, publisher, year, edition, pages
2009. Vol. 84, no 1, p. 76-83
Keywords [en]
Type 1 diabetes; Behavioural medicine; Cognitive behaviour therapy; Predictor; Glycaemic control
National Category
Psychology Nursing
Identifiers
URN: urn:nbn:se:miun:diva-7711DOI: 10.1016/j.diabres.2008.12.011ISI: 000265329300012OAI: oai:DiVA.org:miun-7711DiVA, id: diva2:128090
Available from: 2008-12-12 Created: 2008-12-11 Last updated: 2017-12-14Bibliographically approved

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Lisspers, Jan

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CiteExportLink to record
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  • apa
  • ieee
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  • de-DE
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